Evidence map›Paper›PMID 29778652›Full record

ArticleAnnals of epidemiology2018

Frailty and diabetes among Mexican American older adults.

Bret T Howrey, Soham Al Snih, Kyriakos S Markides, Kenneth J Ottenbacher

Abstract read
In one paragraph

Article in Annals of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Bret T HowreyDepartment of Family Medicine, University of Texas Medical Branch, Galveston. Electronic address: bthowrey@utmb.edu.
Soham Al SnihDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston.
Kyriakos S MarkidesDepartment of Preventive Medicine & Community Health, University of Texas Medical Branch, Galveston.
Kenneth J OttenbacherDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston.
The University of Texas Medical Branch at Galveston · US

Funding

LONGITUDINAL STUDY OF MEXICAN AMERICAN ELDERLY HEALTHR01AG010939 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI MARKIDES, KYRIAKOS S · 1992 to 2022
$14.6M
Long-term Health Outcomes in Mexican American Older AdultsR01MD010355 · NIMHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI AL SNIH, SOHAM · 2016 to 2019
$1.9M
NIA NIH HHS R01 AG010939NIMHD NIH HHS R01 MD010355
6 · The paper itself

Abstract

purposeProgressive physical frailty in older adults is associated with increased risk of falls, disability, institutionalization, and mortality. Although associations between diabetes and frailty have been observed, the impact of diabetes on frailty in older Hispanics is largely unexplored. We examine the association of diabetes on the odds of frailty among older Mexican Americans.

methodsUsing data from the Hispanic Established Population for the Epidemiological Study of the Elderly from 1995 until 2012, frailty was assessed by slow gait, weak hand grip strength, exhaustion, and unexplained weight loss (n = 1327).

resultsLogistic regression showed a large magnitude of effect of diabetes on the odds of frailty (odds ratio 1.47, 95% confidence interval 1.14-1.90). Other contributors to frailty included arthritis, heart attack, and hip fracture. Positive and negative effects had significant and opposing associations. Ordinal logit models assessed the odds of frail compared to nonfrail and prefrail. In these models, diabetes was associated with a 32% increase in the odds of a higher level of frailty.

conclusionsDiabetes is a significant contributor to increased frailty in older Mexican Americans. Interventions to reduce frailty rates should focus on mitigating the effects of diabetes and shifting away from negative and toward positive effect.

Indexed as

Frail ElderlyAgedAged, 80 and overComorbidityDiabetes ComplicationsDiabetes MellitusFemaleFrailtyGeriatric AssessmentHand StrengthHumansLongitudinal StudiesMaleMexican AmericansMexicoPopulation SurveillanceDiabetesFrail elderlyMexican Americans

Identifiers

PMID29778652
PMCPMC6211192
OpenAlexW2800009919

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.